Need better diagnosis for procedure's 76812,76816,76817

HELLO! My Provider is Obstetrics & Gynecology. We billed for procedure's 76812, 76816, 76817 we used Diagnosis 656.50, 655.93, 640.00, 640.03, 625.9 than submitted the claim to Insurance. But we Received the most of the denials from Medicaid & Amerigroup " Not Covered for this Diagnosis". Can any one tell me the correct way of the Billing. Any one help me find out a solution.

Thank you

re: NEED BETTER DIAGNOSIS FOR PROCEDURE'S 76812,76816,76817

Please anyone Help me................
Thanks,

re: NEED BETTER DIAGNOSIS FOR PROCEDURE'S 76812,76816,76817

There are several problems with these billed codes. 76812 is an add-on code that is for multiple gestations. You have no diagnosis code to indicate multiple gestation. 76812 cannot be billed without 76811. 76816 is a re-evaluation when abnormality is suspected on an earlier ultrasound (transabdominal). 76817 is transvaginal. Were all of these scans done at the same setting?

There are too many unspecified diagnosis codes, when from the payer prospective, the provider should know specifics and use the specified codes. Be aware this will be very problematic reporting in ICD-10.
Why do you need 640.00 & 640.03? Isn't the patient pregnant? antepartum? 656.50 - poor fetal growth, unspecified episode of care. Why use unspecified. She is antepartum. 655.93 - unspecified fetal anomaly, antepartum. Again, why does the provider not know the fetal anomaly? Often, if you put yourself in the payer's position, you will see why they are denying the claim.

re: NEED BETTER DIAGNOSIS FOR PROCEDURE'S 76812,76816,76817

Hello! Thank you for your Suggestion.

I have one more doubt We billed Different Procedures with same diagnosis for Different Patient's But Denied " Not covered For this diagnosis".